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If patients have typical symptoms of GERD (heartburn or acid regurgitation or both) and no alarm symptoms, an 8-week trial of acid suppression therapy is appropriate If symptoms resolve completely with acid suppression but return when treatment is discontinued, the patient may have GERD but probably requires esophagogastroduodenoscopy for further evaluation of recurrent symptoms when PPI therapy has been held for 2 to 4 weeks If the patient has little or no response to acid suppression, further investigation is needed Atypical Symptoms of GERD GERD may cause or contribute to many different clinical syndromes
The HK-2 cell line has been accepted as a suitable cellular model for testing of nephrotoxicity in vitro (Gildea et al
196,199 Management strategies include intensive glycemic control to potentially slow cognitive decline, as well as lifestyle interventions to support cognitive health
Supports Fatty Liver & Enzyme Balance: Helps maintain healthy liver enzymes while supporting fatty liver health and metabolic function
Immunity 28 , 687697 (2008)
